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General NPI Number Information
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NPI Number | 1346560778
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Entity Type | Individual
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Provider Name | XAVIER ROMAN-HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 380 CELEBRATION PL FL 2
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City | CELEBRATION
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State | FL
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Zip | 34747-4606
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Country | US
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Telephone | 407-303-4220
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Fax | 407-303-4676
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Provider Business Mailing Address
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Address Line | 380 CELEBRATION PL FL 2
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City | CELEBRATION
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State | FL
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Zip | 34747-4606
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Country | US
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Telephone | 407-303-4220
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Fax | 407-303-4676
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME116992
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License Number State | FL
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